Method and apparatus for deriving a health index for determining cardiovascular health

Patent metadata

Field	Value
Publication number	US-9232915-B2
Application number	US-201113991422-A
Country	US
Kind code	B2
Filing date	Dec 1, 2011
Priority date	Jan 20, 2011
Publication date	Jan 12, 2016
Grant date	Jan 12, 2016

Abstract

A method 1300 and apparatus for deriving a health index for determining cardiovascular health of a person is disclosed herein. In a described embodiment, the method 1300 includes (i) obtaining values of respiratory rate, Sp02 and heart rate from a PPG signal of the person at step 1304 ; (ii) assigning a score based on the values from a reference scoring system at step 1306 ; and (iii) deriving the health index based on the assigned scores at step 1308/1314 . A method and device for obtaining the PPG signal at optimum pressure is also disclosed.

First claim

The invention claimed is:

1. A computer implemented method of deriving a health index for determining cardiovascular health of a subject; the method performed by a computing device and comprising
(i) obtaining values of at least two parameters from one or more PPG signals of the subject, the at least two parameters including Sp02 and at least one other parameter related to Sp02;
(ii) assigning, using the computing device, a score using the values of the at least two related parameters from a reference scoring system, wherein the reference scoring system is derived, using the computing device, by
listing all possible permutations of the at least two parameters in a list, each permutation corresponding to a preliminary band classification and a preliminary score;
checking the list against a list of impossible combinations and atypical combinations;
identifying, using the computing device, which of the possible permutations in the list falls within the list of impossible combinations and atypical combinations and marking the identified possible permutations;
manipulating, using the computing device, the preliminary band classification of the possible permutations identified as atypical combinations;
manipulating, using the computing device, the preliminary scores corresponding to the manipulated preliminary band classifications based on predefined scores and band classification relationships;
deriving, using the computing device, a plurality of groupings for each parameter from the list of possible permutations and the manipulated scores and band classifications; each grouping including a range of readings for the respective parameter and is associated with a corresponding score for assigning to, and dependence on, the obtained values; and

(iii) deriving, using the computing device, the health index based on the assigned score; wherein the health index is derived by deriving a preliminary health index from the groupings for each parameter based on the obtained values and verifying if a combination of the groupings is medically possible, and further verifying if the preliminary health index requires corrective adjustment based on the combination of the groupings.

2. A computer implemented method according to claim 1 , wherein the at least one other parameter is selected from the group consisting of heart rate and respiratory rate.

3. A computer implemented method according to claim 1 , wherein the score is assigned from a combination of the values of the at least two parameters.

4. A computer implemented method according to claim 1 , each corresponding score is associated with clinical interpretation of the cardiovascular health of the subject.

5. A computer implemented method according to claim 1 , further comprising adding, using the computing device, the assigned scores together to derive the health index to represent the cardiovascular health of the subject.

6. A computer implemented method according to claim 1 , further comprising adding up, using the computing device, the assigned scores to derive the preliminary health index.

7. A computer implemented method according to claim 1 , wherein if the combination of the groupings is medically not possible, displaying an error message, using the computing device, as the health index.

8. A computer implemented method according to claim 1 , wherein if adjustment is needed, adjusting, using the computing device, the preliminary health index to a revised health index and using the revised health index as the health index.

9. A computer implemented method according to claim 1 , wherein verifying if the preliminary health index requires adjustment includes comparing, using the computing device, the combination of groupings with a reference list of combinations.

10. A computer implemented method according to claim 1 , wherein the at least one other parameter is categorized based on the subject's age group and gender.

11. A computer implemented method according to claim 1 , wherein the health index is associated with clinical interpretation of the cardiovascular health of the subject, and the method further includes displaying, using the said computing device, the clinical interpretation as part of the health index.

12. A computer implemented method according to claim 1 , wherein the at least two parameters are obtained from more than one PPG signals.

13. A computer implemented method according to claim 1 , wherein the score is based on relative health significance of the parameters considered collectively.

14. A computer implemented method according to claim 1 , wherein (i) further includes:
illuminating a portion of living tissue of the subject and detecting transmitted or reflected light as a signal using an illumination and detection assembly;
detecting an amount of pressure applied by the portion of living tissue of the subject to the illumination and detection assembly;
correlating the quality of the detected signal with the amount of applied pressure; and
providing feedback related to the correlation to the subject.

15. A computer implemented method according to claim 14 , further comprising providing an indication, using the computing device, of whether the amount of pressure being applied to the illumination and detection assembly should be adjusted.

16. A computer implemented method according to claim 14 , further comprising displaying, using the computing device, a range of optimal applied pressures along with actual applies pressure being applied by the subject.

17. A computer implemented method according to claim 14 , further comprising displaying, using the computing device, a range of optimal applied pressures which corresponds to a state of zero transmural pressure.

18. A computer implemented method according to claim 14 , wherein the PPG signal is obtained when the applied pressure is at its optimal.

19. Apparatus for deriving a health index for determining cardiovascular health of a subject, the apparatus comprising
a processor configured to
(i) obtain values of at least two parameters from a PPG signal of the subject, the at least two parameters including Sp02 and at least one other parameter related to Sp02;
(ii) assign a score using the values of the at least two parameters from a reference scoring system, wherein the reference scoring system is derived by
listing all possible permutations of the at least two parameters in a list, each permutation corresponding to a preliminary band classification and a preliminary score;
checking the list against a list of impossible combinations and atypical combinations;
identifying which of the possible permutations in the list falls within the list of impossible combinations and atypical combinations and marking the identified possible permutations;
manipulating the preliminary band classification of the possible permutations identified as atypical combinations;
manipulating the preliminary scores corresponding to the manipulated preliminary band classifications based on predefined scores and band classification relationships;
deriving a plurality of groupings for each parameter from the list of possible permutations and the manipulated scores and band classifications; each grouping including a range of readings for the respective parameter and is associated with a corresponding score for assigning to, and dependence on, the obtained values; and

(iii) derive the health index based on the assigned scores, wherein the health index is derived by deriving a preliminary health index from the groupings for each parameter base

Assignees

• Chua Juliana
• Aung Myo Myint
• Cheah Xinying
• Thaveeprungsriporn Visit
• Nitto Denko Corp

Inventors

• Chua Juliana
• Aung Myo Myint
• Cheah Xinying
• Thaveeprungsriporn Visit

Classifications

• A61B5/14552 Primary

  Details of sensors specially adapted therefor · CPC title

• A61B5/7271

  Specific aspects of physiological measurement analysis (specific diagnostics methods using bioelectric or biomagnetic signals A61B5/316) · CPC title

• G06F19/345

  Physics · mapped topic

• A61B5/14551

  for measuring blood gases · CPC title

• A61B5/02028

  Determining haemodynamic parameters not otherwise provided for, e.g. cardiac contractility or left ventricular ejection fraction · CPC title